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Individual
DR. SIDNEY CHARLES ONTAI
Active
Individual
DR. SIDNEY CHARLES ONTAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K7364
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018373301
—
TX
01
—
120737101
FIRSTCARE INSURANCE ID
TX
01
—
8G8750
BCBS TX
TX
Enumeration date
05/03/2007
Last updated
08/27/2020
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